We provide inpatient and outpatient services individualized to the medical needs and safety of each patient. Many people underestimate the degree of their physical dependence and the risks and complications they may face. These risks are difficult to assess via e-mail, fax, or telephone, and should be evaluated in a personal visit.
We tailor our detoxification services based on a variety of factors, including the following:
- The drug of dependence
- cocaine, amphetamines
- Degree of physical dependency
- Periods of sobriety in the past
- Number of previous attempts at detoxification
- Previous rehabilitation services
- Willingness to continue the recovery process after detoxification
- Insurance coverage and benefits
Alcohol detoxification is potentially life-threatening and needs close medical monitoring and supervision. It is very rare for an alcoholic to safely detoxify without help, and there is great danger in mixing alcohol and medication. Medically monitored detoxification greatly reduces the seizures and delirium tremens common during the withdrawal period.
We offer two programs for outpatient alcohol detoxification, available for a subset of patients. One is via the Medically Assisted Abstinence Protocol (MAAP) and the other is in partnership with The Coleman Institute.
Office-based opioid detoxification
Opioids can all be associated with incapacitating withdrawal symptoms, a high degree of craving after quitting, and high relapse rates. Detoxification can be done in our Burlingame office as part of an office-based opioid detoxification program or as an inpatient at Mills Medical Center.
All of our physicians are certified to prescribe Suboxone® for opioid detoxification and maintenance. We use Subutex to medically manage pregnant opioid-dependent patients.
In partnership with The Coleman Institute, we also use Naltrexone, an opioid antagonist, for relapse prevention. It is available in a daily oral form, a monthly injection called Vivitrol®, or a two-month implant.
- Codeine and others
Methadone is very complex and prolonged detoxification. Call our staff for the special methadone detox protocol or go to the The Coleman Institute for more information.
Cocaine and amphetamine detoxification
Cocaine and amphetamines are very addictive psychoactive stimulants but do not usually require medically monitored or supervised detoxification. People addicted to these substances often need a safe place to stay where they can stop their usage.
Stimulant dependence can be treated with our Medically Assisted Abstinence Protocol (MAAP) program using Flumazenil to help prevent relapse.
Sedative and hypnotics detoxification
Sedatives and hypnotics include most sleeping pills and the minor tranquilizers in the barbiturate and the benzodiazepine category— Valium®, Xanax®, Ativan®, Ambien®, Dalmane®, Restoril®, Klonopin® and others. Stopping them abruptly can lead to withdrawal seizures or severe toxic psychosis requiring emergency hospitalization.
Most sedative/hypnotic detoxification procedures are performed during in-patient stays in a medically supervised setting. We are also working with The Coleman Institute doing a seven-day outpatient infusion therapy for benzodiazepine dependence.
Marijuana does not need medically supervised detoxification.